Social risk factors tied to early diabetes, hypertension | Study: Risk for multiple strokes higher among smokers | Research links sugar-sweetened beverage consumption to mortality risk
May 23, 2019
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Social risk factors tied to early diabetes, hypertension
Early onset of diabetes was associated with depressive symptoms, smoking, high stress, concentrated neighborhood poverty, intimate partner violence, financial worries, being separated or single, and having less than a high school diploma, with a 1.53 hazard ratio among those with more than three risk factors, according to a study in JAMA Network Open. Researchers also found that infrequent exercise, having less than a high school diploma, concentrated neighborhood poverty, smoking and being widowed were tied to early onset of hypertension, with a hazard ratio of 1.41 for those with more than three risk factors.
MedPage Today (free registration) (5/20) 
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Study: Risk for multiple strokes higher among smokers
Smokers who continued the habit after a stroke, using up to 20 cigarettes each day, were at a 68% increased risk for a repeat stroke, compared with nonsmokers, according to findings published in the Journal of the American Heart Association. However, those who quit smoking after their stroke were 29% less likely to experience another stroke than those who continued smoking, according to the study of 3,069 stroke survivors.
Reuters (5/17) 
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Research links sugar-sweetened beverage consumption to mortality risk
A study in JAMA Network Open found that each additional 12-ounce sugary beverage consumed was associated with a 1.15 hazard ratio for coronary heart disease mortality and a 1.11 all-cause mortality hazard ratio. Using information on 13,440 individuals ages 45 and older, researchers found that even 100% fruit juices were linked to mortality risk, with each additional 12 ounces associated with a hazard ratio of 1.28 for CHD mortality and 1.24 for all-cause mortality.
Medscape (free registration) (5/17) 
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Emerging Trends
CDC tracks shifting cancer, heart disease mortality
US adults ages 45 to 64 were more likely to die from cancer than heart disease between 1999 and 2017, but cancer mortality among that group fell 19% during the study period, according to a study in the CDC's National Vital Statistics Reports. Meanwhile, the prevalence of heart disease-related deaths decreased by 22% from 1999 to 2011, then increased 4% from 2011 to 2017, with the greatest increase found among white women.
CNN (5/22) 
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Pediatric cholesterol levels improving in the US
A study in the Journal of the American Medical Association showed that average total cholesterol levels in children and teens dropped from 164 mg/dL in 1999 to 155 mg/dL in 2016, with levels of HDL cholesterol increasing and levels of LDL cholesterol declining during the same period. However, researchers found that only 51% of all youths had normal cholesterol levels, while about 15% and 25% of children and teens, respectively, had unhealthy cholesterol levels.
The Associated Press (5/21),  HealthDay News (5/21) 
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Nursing in the News
Physician: Team-based approach needed for CVD prevention
Preventing and treating cardiovascular disease requires a patient-centered focus and good collaboration, and CVD guidelines stress the importance of promoting a healthy lifestyle, Dr. Salim Virani told the National Lipid Association annual meeting. Virani said physicians have limited time with patients, so having a CV risk team that includes nurse practitioners, physician assistants and dietitians can lead to better outcomes and reduce CV risks.
Healio (free registration)/Cardiology Today (5/17) 
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PCNA Update
Promoting physical activity in our communities
Our built environment can have a big impact on whether or not our patients perform physical activity. There are a number of initiatives underway that seek to address community-level barriers to promoting physical activity, including Complete Streets and the National Physical Activity Plan. Read our recent article.
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